Sweta S. Kumar1, Oshin Jain2, Prateek Jain3
BACKGROUND
Geriatric dermatoses are a common group of conditions seen frequently in the
daily out-patient clinic. The process of ageing plays an important role in the
physiological and pathological changes of the skin in old age. With the presence
of long-term systemic comorbidities, the incidence of pathological conditions also
increases. Only a few studies have been conducted in India about geriatric
dermatoses. We wanted to study the prevalence of physiological and pathological
skin changes in the elderly population.
METHODS
It was a cross sectional observational study and 300 patients aged more than 60
years attending the outpatient clinic of dermatology at UPUMS, Saifai were
enrolled in the study. Detailed history of cutaneous complaints, past and present
medical conditions was taken. Complete general physical and dermatological
examination was done. The physiological and pathological skin changes in the
cases were noted.
RESULTS
Out of 300 patients, 70.67 % were males and 29.33 % were females. 72 %
belonged to the age group of 60 - 69 years. 88.33 % complained about pruritus.
Wrinkles and xerosis were the most common physiological cutaneous
manifestations. Benign growths like seborrheic keratosis, dermatosis papulosa
nigra, and acrochordons were observed in most of the patients. Eczema and fungal
infections were the most common pathological conditions in the study. 25 % had
pre-existing systemic conditions with diabetes and hypertension being the
commonest. 88 % had greying of hair and 45.67 % had nail changes.
CONCLUSIONS
India is an ageing nation. In the elderly, both physiological and pathological skin
changes are common. Geriatric dermatology is becoming an important aspect of
dermatology. Our study helps in providing a better understanding about the
patterns of geriatric dermatoses and emphasizes the need to focus on healthcare
needs of the elderly.
